Summary
Sequential treatment of murine leukemia L5178Y with cytosine arabinoside (ara-C) followed by dipyridamole (DP) resulted in synergistic cytotoxicity. Viability of cells exposed to 1 µM ara-C for 4 h was 88% of control values, but if DP was included in the cloning medium, cell viability was reduced to only 30%. When cells exposed to 1 µM ara-C were resuspended in ara-C-free medium containing 10 µM DP, intracellular ara-C and its metabolites were retained for a significantly longer period than when cells were resuspended in drug-free medium. At 4 h after resuspension in ara-C-free medium, total intracellular [3H] was 1.9 pmol/106 cells in control cells but amounted to 6.2 pmol/106 cells in DP-treated cells. Unchanged ara-C was 5.5-fold higher in the DP-treated cells. Presumably because of its effect on the concentration of intracellular ara-C, DP increased the half-life for ara-CTP from 97 to 250 min. Ara-CDP-choline declined with a half-life of 76 min on the transfer of cells to control medium, but levels of this metabolite remained constant or increased slightly in cells transferred to medium containing DP. After 4 h in ara-C-free medium with DP, [3H]-ara-C incorporated into the acid-insoluble fraction was 140% of the level attained when cells were transferred to control medium. The increased levels of ara-C metabolites presumably represent the basis for the enhancement of ara-C cytotoxicity by sequential DP treatment.
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Abbreviations
- ara-C:
-
1-β-d-arabinofuranosylcytosine, cytosine ara-binoside
- ara-CTP:
-
ara-C 5’triphosphate
- ara-CDP-choline:
-
ara-C diphosphocholine
- ara-C-DNA:
-
ara-C incorporated into DNA
- DP:
-
dipyridamole, Persantin, 2,2′,2″,2′′′-(4,8-dipiperidinopyrimido (5,4-d) pyrimidine-2,6-dinitrilo) tetraethanol
- PBS:
-
phosphate-buffered saline
References
Capizzi RL, Papirmeister B, Mullins JM, Cheng E (1974) The detection of chemical mutagens using the L5178Y/asn− murine leukemia in vitro and in a host-mediated assay. Cancer Res 34: 3073
Chan TCK (1989) Augmentation of 1-β-d-arabinofuranosylcytosine cytotoxicity in human tumor cells by inhibiting drug efflux. Cancer Res 49: 2656
Fischer PH, Pamukcu R, Bittner G, Willson JKV (1984) Enhancement of the sensitivity of human colon cancer cells to growth inhibition by acivicin achieved through inhibition of nucleic acid precursor salvage by dipyridamole. Cancer Res 44: 3355
Gale RP (1979) Advances in the treatment of acute myelogenous leukemia. N Engl J Med 300: 1189
Jarvis SM, McBride D, Young JD (1982) Erythrocyte nucleoside transport: asymmetrical binding of nitrobenzylthioinosine to nucleoside permeation sites. J Physiol 324: 31
Kufe D, Major P, Egan E, Beardsley P (1981) Incorporation of ara-C into L1210 DNA as a correlate of cytotoxicity. J Biol Chem 235: 3235
Kufe D, Spriggs D, Egan EM, Munroe D (1984) Relationships among ara-CTP pools, formation of (ara-C)DNA, and cytotoxicity of human leukemic cells. Blood 64: 54
Kufe DW, Munroe D, Herrick D, Egan E, Spriggs D (1984) Effects of 1-β-d-arabinofuranosylcytosine incorporation on eukaryotic DNA template function. Mol Pharmacol 26: 128
Lauzon GJ, Paran JH, Paterson ARP (1978) Formation of 1-β-d-arabinofuranosylcytosine diphosphate choline in cultured human leukemic RPMI 6410 cells. Cancer Res 38: 1723
Major PP, Egan EM, Beardsley GP, Minden MD, Kufe D (1981) Lethality of human myeloblasts correlates with the incorporation of ara-C in DNA. Proc Natl Acad Sci USA 78: 3235
Major PP, Egan EM, Herrick DJ, Kufe DW (1982) Effect of ara-C incorporation on deoxyribonucleic acid synthesis in cells. Biochem Pharmacol 31: 2937
Nelson JA, Drake S (1984) Potentiation of methotrexate toxicity by dipyridamole. Cancer Res 44: 2493
Plagemann PGW, Marz R, Wohlhueter RM (1978) Transport and metabolism of deoxycytidine and 1-β-d-arabinofuranosylcytosine into cultured Novikoff rat hepatoma cells, relationship to phosphorylation, and regulation of triphosphate synthesis. Cancer Res 38: 978
Preisler HD, Rustum Y, Priore RL (1985) Relationship between leukemic cell retention of cytosine arabinoside triphosphate and the duration of remission in patients with acute leukemia. Eur J Cancer Clin Oncol 21: 23
Rathmell JP, Capizzi RL, Craig J (1986) Membrane phospholipid as a possible target for ara-C in human leukemia (Abstract). Proc Am Soc Clin Oncol 5: 47
Rustum Y, Preisler HD (1979) Correlation between leukemic cell retention of 1-β-d-arabinofuranosylcytosine 5′-triphosphate and response to therapy. Cancer Res 39: 42
Skipper HE, Schabel FM Jr, Wilcox WS (1967) Experimental evaluation of potential anticancer agents: XXI. Scheduling of arabinosylcytosine to take advantage of its S-phase specificity against leukemia cells. Cancer Chemother Rep 51: 125
Van Mouwerik TJ, Pangallo CA, Wilson JKV, Fischer PH (1987) Augmentation of methotrexate cytotoxicity in human colon cancer cells achieved through inhibition of thymidine salvage by dipyridamole. Biochem Pharmacol 36: 809
Yang J-L, Capizzi RL, Contento M (1984) Sequential dipyridamole (DP) retards ara-C efflux and results in synergistic cytotoxicity (Abstract). Proc Am Assoc Cancer Res 25: 341
Yang J-L, Cheng EH, Capizzi RL, Cheng Y-C, Kute T (1985) Effect of uracil arabinoside on metabolism and cytotoxicity of cytosine arabinoside in L5178Y murine leukemia. J Clin Invest 75: 141
Zittoun R, Marie J-P, Delanian S, Suberville A-M, Thevenin D (1987) Prognostic value of in vitro uptake and retention of cytosine arabinoside in acute myelogenous leukemia. Semin Oncol 14 [Suppl 1]: 269
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This research was supported by grant CH-35H from the American Cancer Society and grant CA12197 from the National Institutes of Health
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Yang, JL., Courtland White, J. & Capizzi, R.L. Enhanced retention of cytosine arabinoside and its metabolites and synergistic cytotoxicity by sequential treatment with dipyridamole in L5178Y leukemia. Cancer Chemother Pharmacol 26, 135–138 (1990). https://doi.org/10.1007/BF02897259
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DOI: https://doi.org/10.1007/BF02897259